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Individual

ANDRIA A COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CDN, MS

Contact information

Practice address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(718) 830-4028
(718) 830-4380
Mailing address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(718) 830-4028
(718) 830-4380

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
006356
NY
133V00000X
Registered Dietitian
Primary
944187
NY

Other

Enumeration date
04/08/2013
Last updated
04/08/2013
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